Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09792 | Date 21/08/2025 |
| Token No | SM/25-26/6701 21/08/2025 | Serial | 067 |
| Patient Name | Master SHIVAM TURIA | Contact No | 8282930093 |
| Address | 214 NEW MAHESH SERAMPORE 712203 | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||